Articles producció científica> Medicina i Cirurgia

Management of Mechanical Nasal Obstruction Isolated or Associated to Upper Airway Inflammatory Diseases in Real Life: Use of both Subjective and Objective Criteria

  • Identification data

    Identifier: imarina:9326699
    Authors:
    Merma-Linares CMartinez MDGonzalez MAlobid IFiguerola EMullol J
    Abstract:
    Mechanical nasal obstruction (MNO) is a prevalent condition with a high impact on patient's quality-of-life (QoL) and socio-economic burden. The aim of this study was to determine the usefulness of both subjective and objective criteria in the appropriate management of MNO, either alone or associated to upper airway inflammatory diseases such as allergic rhinitis (AR) or chronic rhinosinusitis with nasal polyps (CRSwNP).A long debate persists about the usefulness of subjective and objective methods for making decisions on the management of patients with nasal obstruction. Establishing standards and ranges of symptom scales and questionnaires is essential to measure the success of an intervention and its impact on QoL. To our knowledge this is the first real-life study to describe the management of MNO using both subjective and objective criteria in MNO isolated or associated to upper airway inflammatory diseases (AR or CRSwNP). Medical treatment (intranasal corticosteroids) has a minor but significant improvement in MNO subjective outcomes (NO, NOSE, and CQ7) with no changes in loss of smell and objective outcomes. After surgery, all MNO patients reported a significant improvement in both subjective and objective outcomes, this improvement being higher in CRSwNP. We concluded that in daily clinical practice, the therapeutic recommendation for MNO should be based on both subjective and objective outcomes, nasal corrective surgery being the treatment of choice in MNO, either isolated or associated to upper airway inflammatory diseases, AR or CRSwNP.© 2023. The Author(s).
  • Others:

    Author, as appears in the article.: Merma-Linares C; Martinez MD; Gonzalez M; Alobid I; Figuerola E; Mullol J
    Department: Medicina i Cirurgia
    URV's Author/s: Figuerola Massana, Enric / Martínez Novoa, María Dolores / Merma Linares, Carla Vanessa
    Keywords: Nasal surgical procedures Nasal obstruction Diagnostic techniques Crswnp Allergic rhinitis
    Abstract: Mechanical nasal obstruction (MNO) is a prevalent condition with a high impact on patient's quality-of-life (QoL) and socio-economic burden. The aim of this study was to determine the usefulness of both subjective and objective criteria in the appropriate management of MNO, either alone or associated to upper airway inflammatory diseases such as allergic rhinitis (AR) or chronic rhinosinusitis with nasal polyps (CRSwNP).A long debate persists about the usefulness of subjective and objective methods for making decisions on the management of patients with nasal obstruction. Establishing standards and ranges of symptom scales and questionnaires is essential to measure the success of an intervention and its impact on QoL. To our knowledge this is the first real-life study to describe the management of MNO using both subjective and objective criteria in MNO isolated or associated to upper airway inflammatory diseases (AR or CRSwNP). Medical treatment (intranasal corticosteroids) has a minor but significant improvement in MNO subjective outcomes (NO, NOSE, and CQ7) with no changes in loss of smell and objective outcomes. After surgery, all MNO patients reported a significant improvement in both subjective and objective outcomes, this improvement being higher in CRSwNP. We concluded that in daily clinical practice, the therapeutic recommendation for MNO should be based on both subjective and objective outcomes, nasal corrective surgery being the treatment of choice in MNO, either isolated or associated to upper airway inflammatory diseases, AR or CRSwNP.© 2023. The Author(s).
    Thematic Areas: Pulmonary and respiratory medicine Medicina ii Medicina i Immunology and allergy Immunology General medicine Allergy
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: carlavanessa.merma@urv.cat enric.figuerola@urv.cat carlavanessa.merma@urv.cat
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://link.springer.com/article/10.1007/s11882-023-01104-y
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Current Allergy And Asthma Reports. 23 (10): 567-578
    APA: Merma-Linares C; Martinez MD; Gonzalez M; Alobid I; Figuerola E; Mullol J (2023). Management of Mechanical Nasal Obstruction Isolated or Associated to Upper Airway Inflammatory Diseases in Real Life: Use of both Subjective and Objective Criteria. Current Allergy And Asthma Reports, 23(10), 567-578. DOI: 10.1007/s11882-023-01104-y
    Article's DOI: 10.1007/s11882-023-01104-y
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Allergy,Immunology,Immunology and Allergy,Pulmonary and Respiratory Medicine
    Nasal surgical procedures
    Nasal obstruction
    Diagnostic techniques
    Crswnp
    Allergic rhinitis
    Pulmonary and respiratory medicine
    Medicina ii
    Medicina i
    Immunology and allergy
    Immunology
    General medicine
    Allergy
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